JESSICA A WILSON

MACON, GA
NPI1891951703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: GA  LDO002136)
Enumeration Date2008-07-30
Last Update Date2010-07-15
Business Address
-- JESSICA A WILSON LDO
1376 GRAY HWY
MACON, GA 31211-1952
Phone number: 478-743-6006
Mailing Address
-- JESSICA A WILSON LDO
152 THE MASTERS CV
MACON, GA 31211-6004
Phone number: 478-746-3911